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A redefinition of primary headache: chronic migraine

  • A REDEFINITION OF PRIMARY HEADACHES
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Abstract

In the field of so-called chronic daily headache, it is not easy for migraine that worsens progressively until it becomes daily or almost daily to find a precise and universally recognized place within the current international headache classification systems. A proposal is advanced to differentiate between a form of high-frequency migraine without aura (10–20 days of headache per month for at least 3 months), to be considered as a migraine without aura subtype, and a form of transformed migraine (TM), to be considered as a complication of migraine. TM—a name that should be preferred to chronic migraine (CM)—would then replace the latter, from which it would distinguish itself by the more restrictive diagnostic criteria (at least 20 days of headache per month for at least 1 year, with no more than 5 consecutive days free of symptoms; same clinical features of migraine without aura for at least 10 of those 20 days).

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References

  1. Headache Classification Committee of the International Headache Society (1988) Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 8(Suppl 7):1–96

    Google Scholar 

  2. Mathew NT, Stubits E, Nigam MP (1982) Transformation of episodic migraine into daily headache: analysis of factors. Headache 22:66–68

    Article  PubMed  CAS  Google Scholar 

  3. Mathew NT, Reuveni U, Perez F (1987) Transformed or evolutive migraine. Headache 27:102–106

    Article  PubMed  CAS  Google Scholar 

  4. Manzoni GC, Micieli G, Granella F, Cavallini A, Zanferrari C, Nappi G (1987) Daily chronic headache: classification and clinical features. Observations on 250 patients. Cephalalgia 7(Suppl 6):169–170

    Google Scholar 

  5. Silberstein SD, Lipton RB (2000) Chronic daily headache. Curr Opin Neurol 13:277–283

    Article  PubMed  CAS  Google Scholar 

  6. Jensen R, Bendtsen L (2004) Is chronic daily headache a useful diagnosis? J Headache Pain 5:87–93

    Article  Google Scholar 

  7. Goadsby PJ, Dodick D, Silberstein SD (2005) Introduction and general remarks. In: Goadsby PJ, Silberstein SD, Dodick D (eds) Chronic daily headache for clinicians. BC Decker, Hamilton, pp 1–2

    Google Scholar 

  8. Vanast WJ (1986) New daily persistent headaches: definition of a benign syndrome. Headache 26:317

    Google Scholar 

  9. Mathew NT (1993) Transformed migraine. Cephalalgia 13(Suppl 12):78–83

    PubMed  Google Scholar 

  10. Silberstein SD, Lipton RB, Solomon S, Mathew NT (1994) Classification of daily and near-daily headaches: proposed revisions to the HIS criteria. Headache 34:1–7

    Article  Google Scholar 

  11. Manzoni GC, Granella F, Sandrini G, Cavallini A, Zanferrari C, Nappi G (1995) Classification of chronic daily headache by International Headache Society criteria: limits and new proposals. Cephalalgia 15:37–43

    Article  PubMed  CAS  Google Scholar 

  12. Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders—2nd edition. Cephalalgia 24(Suppl 1):1–160

    Google Scholar 

  13. Bigal ME, Tepper SJ, Sheftell FD, Rapoport AM, Lipton RB (2004) Chronic daily headache: correlation between the 2004 and the 1988 International Headache Society diagnostic criteria. Headache 44:684–691

    Article  PubMed  Google Scholar 

  14. Olesen J, Bousser MG, Diener HC, Dodick D, First M, Goadsby PJ, Goebel H, Lainez MJA, Lance JW, Lipton RB, Nappi G, Sakai F, Schoenen J, Silberstein SD, Steiner TJ (2006) New appendix criteria open for a broader concept of chronic migraine. Cephalalgia 26:742–746

    Article  PubMed  CAS  Google Scholar 

  15. Olesen J, for the Third International Headache Classification Committee of the International Headache Society (2011) New plans for headache classification: ICHD-3. Cephalalgia 31:4–5 (editorial)

    Article  PubMed  Google Scholar 

  16. Diener H-C, Limmroth V (2004) Medication-overuse headache: a worldwide problem. Lancet Neurol 3:475–483

    Article  PubMed  Google Scholar 

Download references

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Correspondence to P. Torelli.

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Torelli, P., Manzoni, G.C. A redefinition of primary headache: chronic migraine. Neurol Sci 33 (Suppl 1), 17–20 (2012). https://doi.org/10.1007/s10072-012-1036-7

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  • DOI: https://doi.org/10.1007/s10072-012-1036-7

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